CMS Price Transparency Data

X-ray, hip

Facility: Rio Grande Regional Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $346
Cash Discount Price: $1,357
vs. Medicare Baseline: 3.89x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Rio Grande Regional Hospital is $346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,357. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.89x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.

Cash / Self-Pay

$1,357

Average discount available for prompt cash payment at this facility.

Insurance Median

$346

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,357 (1526%)

Insurance Median: $346 (389%)

Cash: $1,357 (1526% of Medicare)

Ins. Median: $346 (389% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 389% of the Medicare baseline (a markup of 289%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Texas Health Network	$47	53%
United	$48 - $611	54%
Driscoll Children'S Health Plan	$49	55%
Aetna	$51	57%
Molina Healthcare	$53	60%
Superior Health Plan	$95	107%
Humana	$124	139%
Blue Cross Blue Shield	$180 - $611	202%
Texas Workforce Commission	$326	367%
Healthcare Highways	$346	389%
Cigna	$446 - $596	502%
Averde Health	$448	504%
Allegian Health	$543	611%
Curative Administrators	$543	611%
Healthsmart Preferred Care	$584 - $1,154	657%
First Health	$780	877%
National Healthcare Solutions	$814	916%
Southwest Medical	$814	916%
Coastal Comp	$882	992%
Usa Managed Care	$882 - $1,086	992%
Ppo Next/ Medical Control	$1,018	1145%
Beech Street	$1,086	1221%
Multiplan	$1,086	1221%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,357.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rio Grande Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73502.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.